Individual
REBA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 S SHERMAN ST, FITZGERALD, GA 31750-3352
(229) 426-0002
(229) 426-0008
Mailing address
3856 TROTTERS RIDGE CIR, VALDOSTA, GA 31605-4893
(229) 412-5851
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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